The mnemonic
HELPERR
What each word stands for
- HCall for Help
- EEvaluate for Episiotomy
- LLegs: McRoberts manoeuvre
- PSuprapubic Pressure
- EEnter manoeuvres (internal rotation)
- RRemove posterior arm
- RRoll the patient to all fours
Why it matters clinically
A stepwise plan for an emergency that has little time.
Where it stops being reliable
Does not include last-resort options such as the Zavanelli manoeuvre or fundal pressure warnings.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.